King, Lonnie

King, Lonnie is an individual health care provider with primary practice located at 1401 Johnson Ferry Rd Suite 390, Marietta GA 30062-6495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. King, Lonnie can be contacted via phone (770) 971-5494.

Contact Information

Primary practice address
1401 Johnson Ferry Rd Suite 390 Marietta GA 30062-6495
Phone: (770) 971-5494
Fax: (770) 971-0467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 037255 Georgia

Profile Details

NPI number 1285640326
LBN Legal business name King, Lonnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285640326 NPPES
Georgia Other 52728549014 BLUE CROSS BLUE SHIELD

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